Dealing with risks in patient care
Quality management
Susanne Backmeister
Klinikmanagerin / Leitung Prozess- und Qualitätsmanagement
Dahlenburger Straße 2 a
29549 Bad Bevensen
Phone:
05821
-80-3002
Mail:
ed.kinilk-anaid@retsiemkcab.ennasus
Qualitätsmanagement, Geschäftsführung, Klinikmanagement weitere nach Bedarf und Thema
Conference frequency: monatlich
Risk management
Thomas Böhnke
Qualitätsmanagementbeauftragter
29544 Bad Bevensen
Phone:
05821
-80-3204
Mail:
ed.kinilk-anaid@eknheob.samoht
Qualitätsmanagement, Geschäftsführung, Klinikmanagement weitere nach Bedarf und Thema
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallkonzept - Vorgehensweise in Notfallsituationen (27.10.2023) |
| RM06 |
Fall prophylaxis SOP Sturzprophylaxe (27.09.2023) |
| RM08 |
Regulated handling of custodial measures Leitfaden des Amtsgerichts zur Anwendung unterbringungsähnlicher Maßnahmen (11.01.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices SOP Umgang mit Medizinprodukten Anlag 1 und 2 (08.02.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP Patientenarmbändchen zur Identifizierung (27.10.2023) |
| RM18 |
Discharge management SOP Prozess Entlassmanagement (10.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
- Optimierungs- und Beschwerdemanagement - Critical incident reporting System CIRS - Qualitätszirkel Risiko- und Chancenmanagement
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.07.2023 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: jährlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |